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Manager, Provider Relations
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Starting at $54,373.27 - $117,808.76 a year depends on education, experience
Full-time
- Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations.
- Provider Relations staff are the primary point of contact between Molina Healthcare and contracted provider network.
- Responsible for the daily operations of the department working collaboratively with other operational departments and functional business unit stakeholders to lead or support various Provider Services functions with an emphasis on contracting, education, outreach and resolving provider inquiries.
- In conjunction with the Director, Provider Network Management & Operations, develops health plan-specific provider contracting strategies, identifying specialties and geographic locations on which to concentrate resources for purposes of establishing a sufficient network of Participating Providers to serve the health care needs of the Plan's patients or members.
- Assists with ongoing provider network development and the education of contracted network providers regarding plan procedures and claim payment policies.
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